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central nervous system leptospirosis in the philippines.one hundred hospitalized patients in manila, philippines with aseptic meningoencephalitis were screened for leptospirosis. on the basis of a microscopic agglutination titer of 1:1,600 or greater, the diagnosis was made in five cases, yet in no instance had leptospirosis been included in the differential diagnosis on admission to the hospital. four of the five patients first noted neurologic symptoms during the second week of illness; two patients presented with encephalitis, two with meningitis ...19892609216
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